Perillo Letizia, d'Apuzzo Fabrizia, De Gregorio Franca, Grassia Vincenzo, Barbetti Manuel, Cugliari Giovanni, Nucci Ludovica, Castroflorio Tommaso
Full Professor, Dean of the Faculty of Dentistry, Chairman of the Postgraduate Orthodontic Program, Head of the Orthodontic Division, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy.
Postdoctoral Research Fellow, Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy.
Turk J Orthod. 2023 Jun 22;36(2):87-93. doi: 10.4274/TurkJOrthod.2022.2021.0255.
Compliance is critical for successful outcomes in orthodontics, and personality traits may play a role in determining patient adherence. This study aimed to monitor compliance during treatment with removable clear aligners (CA) [Align Technology Inc, San José, Calif ], and evaluate the influence of motivational techniques and the patient's profiles assessed through the psychological well-being (PWB) questionnaire on clinical outcomes.
Thirty-nine consecutive patients in permanent dentition seeking treatment with CA were recruited from two universities. Casts were obtained before treatment and after 3, 6, and 12 months and the corresponding digital Clincheck©.STL files were used to calculate the discrepancy index to check for differences between virtual and real treatment stages. Patients were divided into two groups: the Case group, which received motivational techniques at each appointment, and the control group which received instructions only at the beginning. Psychological profiles were evaluated before treatment (T0) and after 3 (T1), 6 (T2), and 12 (T3) months.
There were no differences between the Case and Control groups regarding the use of motivational reminders. The analysis of the PWB showed that almost all values increased, and there was a strong correlation between dental casts and correspondent. STL files at every time point. The PWB showed increased values from T0 to T3 in the sample.
Motivational techniques did not affect patient compliance, and treatment outcomes were achieved as planned. The PWB of all patients improved throughout the treatment with CA.
依从性对于正畸治疗的成功结果至关重要，人格特质可能在决定患者的依从性方面发挥作用。本研究旨在监测使用可摘式透明矫治器（CA）[Align Technology Inc，加利福尼亚州圣何塞]治疗期间的依从性，并评估激励技术以及通过心理健康（PWB）问卷评估的患者概况对临床结果的影响。
从两所大学招募了39名连续的恒牙列患者，他们寻求使用CA进行治疗。在治疗前、治疗3个月、6个月和12个月后获取模型，并使用相应的数字Clincheck©.STL文件计算差异指数，以检查虚拟治疗阶段与实际治疗阶段之间的差异。患者分为两组：病例组，每次就诊时接受激励技术；对照组，仅在开始时接受指导。在治疗前（T0）、治疗3个月（T1）、6个月（T2）和12个月（T3）后评估心理概况。
病例组和对照组在使用激励提醒方面没有差异。对PWB的分析表明，几乎所有值都有所增加，并且在每个时间点牙模与相应的.STL文件之间存在很强的相关性。样本中PWB从T0到T3显示值增加。
激励技术不影响患者的依从性，治疗结果按计划实现。所有患者在使用CA治疗期间的PWB均有所改善。
